Temporal lobe surgery and memory: Lessons, risks, and opportunities.
Cerebral Cortex
Cognition
/ physiology
Epilepsy, Temporal Lobe
/ complications
Hippocampus
/ physiopathology
Humans
Longitudinal Studies
Magnetic Resonance Imaging
Memory
/ physiology
Memory Disorders
/ diagnosis
Seizures
/ complications
Temporal Lobe
/ surgery
Tomography, Emission-Computed, Single-Photon
Epilepsy surgery
Memory
Neuropsychology
Temporal lobe epilepsy
Journal
Epilepsy & behavior : E&B
ISSN: 1525-5069
Titre abrégé: Epilepsy Behav
Pays: United States
ID NLM: 100892858
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
26
09
2019
revised:
04
10
2019
accepted:
04
10
2019
pubmed:
13
11
2019
medline:
1
8
2020
entrez:
13
11
2019
Statut:
ppublish
Résumé
Careful study of the clinical outcomes of temporal lobe epilepsy (TLE) surgery has greatly advanced our knowledge of the neuroanatomy of human memory. After early cases resulted in profound amnesia, the critical role of the hippocampus and associated medial temporal lobe (MTL) structures to declarative memory became evident. Surgical approaches quickly changed to become unilateral and later, to be more precise, potentially reducing cognitive morbidity. Neuropsychological studies following unilateral temporal lobe resection (TLR) have challenged early models, which simplified the lateralization of verbal and visual memory function. Diagnostic tests, including intracarotid sodium amobarbital procedure (WADA), structural magnetic resonance imaging (MRI), and functional neuroimaging (functional MRI (fMRI), positron emission tomography (PET), and single-photon emission computed tomography (SPECT)), can more accurately lateralize and localize epileptogenic cortex and predict memory outcomes from surgery. Longitudinal studies have shown that memory may even improve in seizure-free patients. From 70 years of experience with epilepsy surgery, we now have a richer understanding of the clinical, neuroimaging, and surgical predictors of memory decline-and improvement-after TLR. "Special Issue: Epilepsy & Behavior's 20th Anniversary".
Identifiants
pubmed: 31711868
pii: S1525-5050(19)31049-2
doi: 10.1016/j.yebeh.2019.106596
pmc: PMC6885125
mid: NIHMS1542288
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
106596Subventions
Organisme : NINDS NIH HHS
ID : K23 NS104252
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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